Individual
SHANNON BRANDRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3203 E MOORES PIKE, BLOOMINGTON, IN 47401-7122
(812) 370-4888
Mailing address
3203 E MOORES PIKE, BLOOMINGTON, IN 47401-7122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006768A
IN
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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